Root cause analysis of pre-microscopic errors in anatomical pathology using Eindhoven classification
Autor: | Muhammad Zeeshan Sarwar, Muhammad Raheel Anwar, Fakeha Rehman, Zayed Rashid, Rakhshindah Bajwa, Fatima Naumeri, Muhammad Saqlain Haider |
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Rok vydání: | 2020 |
Předmět: |
Quality Control
medicine.medical_specialty Pathology Surgical business.industry Histological Techniques Dentistry Anatomical pathology General Medicine Tertiary care hospital Root cause Defects per million opportunities Specimen Handling Surgical pathology Humans Medicine Pakistan Root Cause Analysis Metric (unit) Diagnostic Errors business Root cause analysis Needs Assessment Staff training |
Zdroj: | Journal of the Pakistan Medical Association. :1 |
ISSN: | 0030-9982 |
DOI: | 10.5455/jpma.5565 |
Popis: | Objective To evaluate pre-microscopic errors in anatomical pathology. Methods The cross-sectional descriptive study was conducted at the Department of Pathology of a tertiary care hospital in Lahore, Pakistan, from September, 2016, to January, 2017, and comprised surgical pathology specimens. Errors were noted across the pre-microscopic process. Defects per million opportunities were calculated to determine sigma metric value in every step, from requisition to slide preparation. Root cause analysis was applied to the process of histology preparation to identify the root cause of each previously identified problem using Eindhoven classification. All errors were recorded on a pre-designed proforma. Results There were 2420 specimens. While errors were encountered in all phases of the pre-microscopic process, but the (G6: n=1085, 44.83%), followed by requisition (R3: n=893, 36.9%) and cover slipping (C1: n=776, 32.06%). Conclusions Development of standard procedures and protocols with staff training is likely to help in controlling the errors. |
Databáze: | OpenAIRE |
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